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HomeMy WebLinkAbout1979 PALOMAR OAKS WAY; ; CB960045; PermitU1/1U/9b ll8: 33 Page 1 of 1 B II I L D I N G Job Address : 1979 PALOMAR OAKS WY Permit Type : ELECTRICAL Parcel N o : 213-092-21-00 Valuation: u P E R M I T Suite: Lo t#: Permit No: CB9o0045 Project No : A9bUUUbq Development N<.>: Construction Type: Occupancy Group: Reference#: Status: NEW ISSUED 01/10/96 Ol/10/9b RMA Description : TEMPORARY POWER POLE FOR TI Appl/Ownr : VIKING EL ECTRIC P .O. BOX 58b213 OCEANSIDE , CA "* k F'ees Requ ired Fees: AdJustments: Total Fees : Fee description 9 20 58 Enter "Y" for Electric Issue F'ee Enter "Y" for Temporary Service * ELECTRICAL TOTAL T o ta Applied : Apr/Issue: Entered By : 619-940-9400 9..., 000 • 'O 0 Total Payments : -~1'4~ 00 Balance Due: 20 .00 Fe e/Uni t Ext fee 1U .UO 10.lJU 2 0 . l)l) Ftr AL APPROVAL INSP. DATE--1 CLEARANCE-----, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (6 19) 438-1161 * *,. Data y y . ,. PERMIT# CB960045 DESCRIPTION : TEMPORARY POWER TYPE : ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 01/11/96 POLE FOR TI OAKS WY STE: INSPECTOR AREA PLANCK# CB960045 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1979 PALOMAR APPLICANT: VIKING ELECTRIC CONTRACTOR: PHONE: 619-940-9400 PHONE: OWNER: REMARKS: MW/RAY SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- CD LVL DESCRIPTION PERMIT# SE900159 CB941027 TYPE swow ITI PHONE: STATUS ISSUED EXPIRED ACT COMMENTS 32 EL Const. Service/Agricultural ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS PERMIT APPLICATION City of Carlsbad Buildi~ Department PLAN CHECK NO. 06 l/5 2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL~----------~ t. PERMJT lYPE PLAN CK DEPOSIT ________ _ VALID.BY --,.---,,,....,..-,.M-"-1------~ From List 1 (see back) give code of Pennie-Type: ------------ DATE. __ -+-__,,...._-+-"1--,1,------~ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type:--------------------- Net Loss/Gain of Dwelling Units------------------ 2. PRClJF.Cf OO'ORMATION FOR OFFICE USE ONLY Address / ~ ? q Building or Suite No. 0 l'f--/:=.S VAy Nearest Cross Slreet LEGAL DESCRIPTION Loe No. Subd1V1s1on Name/Number Unit No. Phase No. CHECK BEWW IF S0BMI 11 £0: O 2 Energy Cales CJ 2 Structural Cales CJ 2 Soils Repon O 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRJPTION OF WORK T EM.P Pov ~,L J (;'j_v( ((: Fo'--r. z SQ. FT. # OF STORJES # OF BEDROOMS # OF BATiiROOMS 3. WN IACI PEJ<SUN (u duterenl irom apphcan(J NAME (last name first) ADDRESS CllY STATE ZIP CODE DAY TELEPHONE 4. APPUCANI ;ti:JCONIRACIOR OAGENI FORCONIRACIOR DOWNER OAG£NI FOR OWNER NAME (last name first) I/ I ~, 1-1 c,.. ~ (. et rTl ,c. ADDRESS Po fJ u,r .S-1" 6~ I J CllY OCF°,"1.N! I i)e STATE (It ZIP CODE t;20.s-J-DAY TELEPHONE 9~o-9Voo s. PR0PER1Y OWNER NAME (lastnamefirst) !C/-lVM.A-CHt:1-(c,J;\f1t-1,y ADDRESS /9~'/ P,n .. o M.,.._i c,,,,..e.s t.../A ~ CllY STATE (}t-ZIP CODE (} a 00 ' DAY TELEPHONE °!JI-9.r..rJ- 6. OON'litAC'lult NAME (last name first) V ( f:: f N (:,. (! l €'C 'f'Tl «-ADDRESS p O a 0~ ,Cr 6 ;._ I j CllY C/Ci=A-N.S i t>€ STATE e,;,. ZIP CODE t;:i.o,rS-DAY TELEPHONE 7 ~o-9 y e, o STATE UC.# </6 17 'J'f LICENSE CU.SS CI O CllY BUSINESS UC.# DESIGNER NAME (last name hrst) ADDRESS CllY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoRXERS' OOMPENsAlioN Workers' Compensation uec1arat1on: I hereby allmn lhat I have a ceruhcate of consent to sell-insure issued by lhe Director of lndustnal . Relations, or a cenificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Depanment (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cemhcate of Exempuon: I cemfy lhat m the pertonnance of Lhe work for which this penn1t 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE (\~ /V -DATE "°'~ J,J (!,.. A. oWNER-90 OEd.ARA:lioN 0 Owner-Builder Declaration: l hereby afhnn that I am exempt from the Contractor's License Law for the foliowmg reason: I, as owner of the propeny or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed conlractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section-------Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [S500]). S1GNA11JRE DATE COMPLETE 1"Hts SECMON FOR NON-RESIDENTIAL BOILOINC PERMITS ONLY: ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? CJ YES O NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? CJ YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CJ YES O NO IF ANY OF nn: ANSWERS ARE YES, A FINAL cmlmCATE OF CXDJPANCY MAY NOf BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPUCANT HAS MET OR IS MEETING nn: REQUIREMENTS OF THE orno: OF EMERGENCY SERVICES AND nn: AIR POILUTION CDNiROL DISfRICT. 9. WNS'lROClioN i..J.:NDlNC ACENCY I hereby afhrm that there 1s a construction lending agency for the perlonnance of the work for which Lhis penn1t 1s issued (Sec 3097{1) C1V1I Code). LENDER'S NAME LENDER'S ADDRESS lo. APPUCAN I CER 11FICA 110N I cemfy that I have read the application and state lhat the above informauon 1s correcl. I agree to comply w1lh all City ordinances ana state laws relating to building construction. I hereby authorize representatives of the City of Carlsbad lo enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEFJ> HARMLESS THE Cl1Y OF CARL5BAD AGAINSf AIL UABllill.ES, JUDGMENTS, CDSl'S AND EXPENSES WIUOI MAY lN ANY WAY MDtUE AGAINST SAID Cl1Y lN CDNSF.QUENO: OF nn: GRANTING OF TIDS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from lhe date of such pennit or if the building or work authorized by such pennit is suspended or aba doned a,t j ny time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLICANTS SIGNATU ~ e,___,____ DATE: /-t o .. ? (: WHITE: File YEILOW: Applicant PINK: Finance ·"'·